Cody, Graham A
Cody, Graham A is an individual health care provider with primary practice located at 700 Regent St Ghc, Madison WI 53715-2634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Cody, Graham A can be contacted via phone (608) 441-3290.Contact Information
Primary practice address
700 Regent St Ghc
Madison WI 53715-2634
Phone: (608) 441-3290
Fax: (608) 441-3291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 28625 | Wisconsin |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 28625 | Wisconsin |
Profile Details
| NPI number | 1649247412 |
|---|---|
| LBN Legal business name | Cody, Graham A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649247412 | NPPES |
| Wisconsin | MEDICAID | 30855100 |
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